MAIN STREET PHARMACY 3 LLC
NPI: 1316249352
· BRIDGEPORT, CT 06610
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
80 |
$3K |
| 2019 |
90 |
$4K |
| 2020 |
54 |
$3K |
| 2021 |
14 |
$600.15 |
| 2024 |
179 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A5501 |
Diabetic custom molded shoe |
34 |
12 |
$4K |
| L3908 |
Who cock-up nonmolde pre ots |
84 |
70 |
$3K |
| A4253 |
Blood glucose/reagent strips |
56 |
53 |
$2K |
| E0114 |
Crutch underarm pair no wood |
73 |
64 |
$2K |
| A5512 |
Multi den insert direct form |
80 |
32 |
$2K |
| L3670 |
So acro/clav can web pre ots |
25 |
25 |
$2K |
| A5500 |
Diab shoe for density insert |
65 |
18 |
$952.74 |